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Home My WebLink About91-1967 ST ATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1967 g Type of Permit Date / z - ~ - '1 / BUILDING ELECTRICAL PLUMBING MECHANICAL Property Owners Name: 7f?- -(l..ll..'-/. ~ t- Job Address: S2/D 19/1t S+. Legal Description: Sub,Div. Lot Blk. Zoning CI: Description of Work l I o 5 lOC.~b K f EAlcJ:... Energy Code Readout: vrr ~, , l~r Or Complete Plans, Specifications and Fee Must Accompany Application Estimated cost~ L 3'1. 00 Fee: Z~ 0 0 SiGNATURE "tv] <'1 COMPANY ,-, 10~ _______ '--", All work shal! be performed in accordance with Ihe above and all Cily Codes and Ordinances. OCCUPATIONAL LICENSE # J1tM~~ Ml ~SIOC.. ~ 5<610 L})I\flbvAL ADDRESS TELEPHONE # BUILDING PLUMBING SLB Tub Set Water Sewer Final ELECTRICAL MECHANICAL Ftr, Pre SLB Lintel FRM, Insul.CL WL Tp.Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($ 10,00) dollars shall be made for each trip, (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same, / APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT J 1"T-n-1 ts:' /Yl f<-EZ j k c ADDRESS "3 7 }o V t.-J J"f-Ve-P L V OWNER T ~ 1-\ /J? I/~'):::.t:- JOB LOCATION 5 ;:210 / 9 ~ ~T; /ft/'~ PHONE 733 7 ,). I L/ LEGAL DESCRIPTION: LOT(S) LOT SIZE_X BLOCK X SUBDIVISION AREA SQ.FT, PARCEL 1. D, # , I ~, sr~t>f\ ____Install ~~ WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4F of Uni ts _____M / H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: X_, Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** **COPY OF CONTRACT REQUIRED. ~ILDING PERMITS REOUESTED ~ $ /023'1- Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _\';,R,E.C, ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ELECTRTCIAN Company State Cert, or Regist, # City License Registration # ****************************************** Signature PLUMBER Signature Company State Cert. or Regist, # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** QIHEE ' R Ct /c) ,'Y1/J , '-j Signature- , ,-, ?~(jC~ Company ~tate Cert. or Regist. 4ft City License Registration # APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOT1CE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictiQns" which lay be lore restrictive than City regulations, The undersigned assules responsibility for cOlpliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a cQntractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-b611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the Qwner sign as the contractor, YQU are indicating that you, rather than the contractor, are responsible fQr the wQrk, If the cQntractor wishes YQU to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills, C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the 'owner' prior to cO.lencelent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating constructiQn, zoning, and land develop.ent. Application is hereby lade to obtain a permit to do work and installation as indicated, I certify that no work or installatiQn has cOllenced priQr to issuance of a perlit and that all work will be perfQrled to leet standards Qf all laws regulating cQnstructiQn, City cQdes, zoning regulations, and land developient regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply tQ the intended work, and that it is IY responsibility te. identify what actions I lust take to be in compliance. Such agencies include bill ~iP. Bot limited to: * Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvirQnlentally Sensjtiv~ I.~nds, Water/Wastewater Treatlent * SQuthwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways * Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat~ent. Septic Tanks * US Environlental Protection AQency - Asbestos abatetent I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer reqiste.ud in the State of Florida prior to pertit issuance. A pereit issued shall be construed to be a license to prDceed with the work and not as authDrity to viol~te, cancel alter, or set aside any provisions Df the technical codes, nor shall issuance of a permit prevent the Building Dffici~l fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issll~d ;hall becole invalid unless the work authorized by such penit is COlllenced within six lonths of issuance, e.f if work authc'llZed by the perlllit is suspended or abandoned for a periDd of six lonths after the tile the work is cDmmenced. One 90 day e~t~"sIOIl of tile, lay be allowed for the permit with fee charge of $15.00, The extension shall be requested in writing to the Building Official, An approved inspection lust be logged during each six eonth perIod, or the project will be cDnsidered dbj\~Dned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfV. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNArUR~1~ ~ ; (1___________ SIGNATURE.)QL)__.,M-2~~ ---16wNER~~T ]-' CONTRACTOR--' DA TE_________Ll. _;3/J-.L----------------- DATE____'__L~31_-cz.-J--------------- NOTARY AS TO - ~ ~ ~ NOTARY AS 0 OWNER OR AGENT ~~__ CONTRACTOR MY COMMISSION PIRES__~~~~~9~-------- MY COMMIS I' Ii II I I I , ! . ~ /;;(/>/rl - - ~~- ~-.9._~_~_~~_~<,-~ ~ -f _-o_--z__~ ,. ~.-4Q:~,--J~_J1_~.. ~~f____~ ~~~~-'____ ---- ----- I ----- ----- ..._-~._- 1 . ---.---.--- ---~ - - -- - .-._-. ------- - --"---- . I - IL__ .- ----JL-- ~~-J~f&~-I- _ _-jt!06/~~ ----.-----------..------- CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER TE,kJ/2 Y )( /1"/Y r :;-,)../0 1<0 TN 5 T JOB LOCATION _ f _ 7-///(. (.. S FI.., PARCEL I. D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. f }g " " J-' 1M ~ M Ib' J I \-- ----=r ~ ;20 -- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE